Evidence map›Paper›PMID 39869819›Full record

ArticleThe Journal of urology2025

An Artificial Intelligence Model Using Diffusion Basis Spectrum Imaging Metrics Accurately Predicts Clinically Significant Prostate Cancer.

Eric H Kim, Huaping Jing, Kainen L Utt, Joel M Vetter, R Cody Weimholt, Arnold D Bullock, Alexandra P Klim, Karla A Bergeron, Jason K Frankel, Zachary L Smith and 3 more

Abstract read
In one paragraph

Article in The Journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Eric H KimDivision of Urology, Department of Surgery, University of Nevada Reno School of Medicine, Reno, Nevada.ORCID 0000-0002-0284-8342
Huaping JingMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.
Kainen L UttMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.
Joel M VetterDivision of Urology, Department of Surgery, Washington University School of Medicine, St Louis, Missouri.
R Cody WeimholtDepartment of Pathology, Washington University School of Medicine, St Louis, Missouri.
Arnold D BullockDivision of Urology, Department of Surgery, Washington University School of Medicine, St Louis, Missouri.
Alexandra P KlimDivision of Urology, Department of Surgery, Washington University School of Medicine, St Louis, Missouri.
Karla A BergeronDivision of Urology, Department of Surgery, Washington University School of Medicine, St Louis, Missouri.
Jason K FrankelKaiser Permanente, The Permanente Medical Group, Walnut Creek, California.
Zachary L SmithAdventHealth Cancer Institute, AdventHealth Medical Group, Orlando, Florida.
Gerald L AndrioleProstatype Genomics, Solna, Sweden.
Sheng-Kwei SongMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.
Joseph E IppolitoMallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri.

Funding

Validating diffusion MRI biomarkers of inflammation and axon pathologies in EAEP01NS059560 · NINDS · WASHINGTON UNIVERSITY · PI SONG, SHENG-KWEI · 2008 to 2018
$11.3M
IMAGING OPTIC NERVE FUNCTION AND PATHOLOGYU01EY025500 · NEI · WASHINGTON UNIVERSITY · PI SONG, SHENG-KWEI · 2015 to 2019
$3.1M
Diffusion Histology Imaging: A Clinical Tool to Non-Invasively Diagnose and Manage Prostate CancerR01CA258690 · NCI · WASHINGTON UNIVERSITY · PI Joseph Edward Ippolito, Michael Hiroshi Johnson · 2022 to 2026
$2.7M
Identifying lethal prostate cancer at diagnosis with advanced proteoglycomic, radiomic, and genomic approachesR01CA282022 · NCI · WASHINGTON UNIVERSITY · PI Joseph Edward Ippolito, Eric H Kim · 2023 to 2026
$2.4M
Virtual Histology for Assessing MS PathologiesR01NS116091 · NINDS · WASHINGTON UNIVERSITY · PI SONG, SHENG-KWEI · 2021 to 2025
$2.2M
NCI NIH HHS R01 CA258690NCI NIH HHS R01 CA282022NEI NIH HHS U01 EY025500NINDS NIH HHS P01 NS059560NINDS NIH HHS R01 NS116091
6 · The paper itself

Abstract

purposeConventional prostate magnetic resonance imaging has limited accuracy for clinically significant prostate cancer (csPCa). We performed diffusion basis spectrum imaging (DBSI) before biopsy and applied artificial intelligence models to these DBSI metrics to predict csPCa. MATERIALS AND

methodsBetween February 2020 and March 2024, 241 patients underwent prostate MRI that included conventional and DBSI-specific sequences before prostate biopsy. We used artificial intelligence models with DBSI metrics as input classifiers and the biopsy pathology as the ground truth. The DBSI-based model was compared with available biomarkers (PSA, PSA density [PSAD], and Prostate Imaging Reporting and Data System [PI-RADS]) for risk discrimination of csPCa defined as Gleason score

resultsThe DBSI-based model was an independent predictor of csPCa (odds ratio [OR] 2.04, 95% CI 1.52-2.73,

conclusionsOur DBSI-based artificial intelligence model accurately predicted csPCa on biopsy and can be combined with PI-RADS to potentially reduce unnecessary prostate biopsies.

Indexed as

Artificial IntelligenceDiffusion Magnetic Resonance ImagingProstateProstatic NeoplasmsAgedHumansMaleMiddle AgedNeoplasm GradingPredictive Value of TestsRetrospective StudiesbiomarkersMRIprostate cancerPSA

Identifiers

PMID39869819
PMCPMC12064362

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.